The Outlook on Electronic Prior Authorization, with special guest April Todd of CAQH
Learn about the challenges, benefits, and outlook on transitioning to fully electronic prior authorization, with panelists Andrew Johnson and April Todd.
It’s no secret that achieving fully electronic prior authorization is a challenge, but the potential upside is tremendous—to the tune of $454 million in savings, according to the 2019 CAQH Index Report. On today’s show, Andrew Johnson meets with our special guest from CAQH, April Todd, to shed light on areas around prior authorization that remain the most challenging, the benefits of transitioning to an automated workflow, and efforts underway to speed adoption of electronic prior auth.
Today’s panelists are Andrew Johnson, vice president of Electronic Prior Authorization Solutions for Change Healthcare, and April Todd, senior vice president for the CAQH, a non-profit alliance creating shared initiatives to streamline the business of healthcare.
The purpose and role of the CAQH CORE (Committee on Operating Rules for Information Exchange)
Why prior authorization is a challenge for payers and providers
Update on alignment between industry standards bodies, including CAQH, WEDI, and HL7 Da Vinci
Which areas of healthcare are furthest along in adopting electronic prior authorization
CAQH’s latest research on the cost of manual versus automated transactions
How electronic prior authorization drives better patient care and reduces costs
Building blocks of an ideal prior authorization workflow
Steps Change Healthcare and CAQH are taking to advance electronic prior authorization
How COVID-19 is affecting adoption
Timeline for shifting prior authorization into a fully automated process
How listeners can support electronic prior authorization advancement